Sólo el 8% de las espondilodiscitis involucraron la columna cervical. En las EIT hubo mayor retraso diagnóstico ( ± 16, vs. ± semanas, p < ) y. Abstract. DE LA GUERRA-ACEBAL, CARLA et al. Cervical spondylodiscitis caused by Streptococcus agalactiae and Parsonage-Turner syndrome. CES Med . Download PDF. 1 / 3 Pages. Previous article. Go back to website. Next article.
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It has become an important tool to be kept up to date. The Journal publishes Original Articles articles on basic research and clinical investigationreviews, brief communications, case studies and images, which are subjected to a rigorous peer review espondilodiscktis. CiteScore measures average citations received per document published. SRJ is a prestige metric based on the idea that not all citations are the same.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. SNIP measures espondilodisxitis citation impact by wighting citations based on the total number of citations in a subject field. One week later he attended the emergency department with a fever of Examination revealed the intramural prosthesis surrounded by small granuloma on its left side, with no signs of infection; it was changed and sent for microbiological study.
Blood cultures were also taken. After 10 further days with the same antibiotic treatment associated with antipyretics, xervical assessed the regimen again at the clinic one month after surgery. At that time the patient esponeilodiscitis no fever, but his dysphagia with solid foods continued, associated with bilateral espodilodiscitis. Examination showed selective pain on palpation of both trapezius muscles and on lateral movement of the trunk, radiating to the upper limbs, strength, and sensitivity were preserved.
A cervical radiograph was taken showing mass effect between C4 and C7, it was not possible to define an inflammatory process or tumour recurrence. A Pre-treatment CT scan showing increased prevertebral soft tissues anterior to C5—C7 with collections of fluid at this level white arrow.
The results from the microbiology department showed a positive blood culture, and that the prosthesis was colonised cdrvical methicillin resistant staphylococcus aureus MRSA. There appeared to be compressive myelopathy Fig. The departments requested analysis which showed normal levels of leukocytes, indeterminate CRP 0.
The follow-up CT scan, performed one month after treatment, showed significant improvement and the lesion almost resolved Fig. By contrast, the NMR continued to show the intervertebral crvical, but with less enhancement Fig.
Analyses showed normal CRP 0. A Post-treatment CT showing a significant decrease of the soft tissue lesion and the disappearance of the fluid levels. B Post-treatment NMR where the C6—C7 vertebral destruction is unaltered, but showing compressive myelopathy and ependymal ectasia. The patient is currently asymptomatic; X-rays show an almost complete cure of his spondylodiscitis. Complications after placement of a phonatory prosthesis are common, and include leakage or fungal colonisation.
Other more serious complications include paraoesophageal abscesses, cellulitis, bronchial aspiration of the prosthesis, cervical osteomyelitis and spondylodiscitis. Spondylodiscitis is an inflammatory process which initially affects the intervertebral disc and then extends to espondilodiscitsi vertebral bodies, occasionally affecting the surrounding soft tissues, due to haematogenous spread.
In recent years, the incidence of discitis has increased due to the greater number of immunosuppressed, elderly, and iatrogenic patients, and anaesthetic or surgical practices on the spinal column in particular. In a study performed by Hopkinson et al. The onset is occasionally insidious.
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cervixal Ninety-five percent of spondylodiscitis are monomicrobial. The causative germ in Early diagnosis is based on thorough anamnesis, appropriate clinical examination, and imaging tests. NMR is the radiological method of choice for diagnosing this condition because it is highly sensitive. Treatment is generally conservative using a rigid collar and associating prolonged broad spectrum antibiotherapy, generally cloxacillin associated with a third-generation cephalosporin. Specific antibiotherapy is started when the causative agent is isolated.
There are only 2 similar cases documented in the references. In our case it was probably due to accidental puncture of the posterior oesophageal wall at the time of the puncture. In conclusion, persistent neck pain after the insertion of a phonatory prosthesis by puncture should alert us to spondylodiscitis. The authors have no conflict of interests to declare.
All about Espondilodiscitis Infecciosa Scielo –
Please cite this article as: Previous article Next article. July – August Pages ee30 Pages This item has received. Blood cultures were also taken. Examination showed selective pain on palpation of both trapezius muscles and on lateral cervjcal of the trunk, radiating to the upper limbs, strength, and sensitivity were preserved. A cervical radiograph was taken showing mass effect between C4 and C7, it was not possible to define an inflammatory process or espondilodisxitis recurrence. B Post-treatment NMR where the C6—C7 vertebral destruction is unaltered, but showing compressive myelopathy and ependymal ectasia.
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Espondilodiscitis cervical en un lactante
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